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Permit (36) CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT 11 .. y x Permit#: MST2018 00289 '" Date Issued: 01/10/2019 T t CSAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AD04700 Jurisdiction: Tigard Site address: 12940 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 154 Project: River Terrace East, Lot 154 Project Description: New SF. 5/14/19: REPRINT to add 330 sf deck and 330 sf deck cover. 8/5/2019: REPRINT to add mini split. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 0 sf Garage: 566 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2594 sf Value: $357,090.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Ecompasing: Y Other: N Other Description: p g BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2594 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) WI E 13TN ET- 703 BROADWAY STREET,SUITE 510 - —— €isn VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $36,081.43 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344./- { Issued By: \ (4J`---j -°"%__,A...."."\---� Permittee Signature: C \`.t�� ' Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Appllcat qn FOR OFFICE USE ONLY City of Tigard $ Received DateB i�; Permit No.:�rt - . 13125 SW Hall Blvd.,Tigard,OR 97223 y' `� „ ` ka ��` Pl I l Phone: 503.718.2439 Fax: 503.598.1960 A ff is s/ ?019 jy Dan Review ` ateBy: Other Permit: i TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: Bl See Page 2 for Internet: www.tigard-or.gov ; t, Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: `2 210 5\-A—D 1\. 6—IN24 lave..) Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump / 61.06 Suite/bldg./apt.no.: Project name:River Terrace East Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:River Terrace East Lot no.: 16 Other: C�>etir S- `i�" 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 q Flue vent for water heater or gas add mini-split to MST201 S-,�Of�ZQ ! fireplace 23.32 O Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:ADVL Land Holdings,LLC Range hood/other kitchen equipment 33.39 Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(602)694-4031 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name:William Lyon Homes,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Tonja Morris Furnace,etc. Address:703 Broadway St Suite 510 Gas heat pump Wall/suspended/unit heater - . Gity/StattIZIP:Vancouver,WA98669 Water heater Phone:(360)695-7700 Fax::(360)693-4442 Fireplace Range E-mail:Permitsubmittals@polygonhomes.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Performance Insulation&Energy Services Other: MECHANICAL PERMIT FEES* Address:13939 SW Tualatin-Sherwood Rd. Subtotal City/State/ZIP:Sherwood,OR 97140 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)707-6078 Fax:( ) State surcharge(12%of permit fee) CCB lic.: k Q A 448 TOTAL PERMIT FEE - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signatur �� h. lb CD * Fee methodology set by Tri-County Building Industry Service Board illiiPrint name:��'` .. .� % Date: S1 Z[LI CITY OF TIGARD s MASTER PERMIT Permit#: MST2018-00289 ' COMMUNITY DEVELOPMENT t �. � 13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 l� Date : 9 T►t.A It I3 9 IssuedParcel: 01/10/2012S106AD094700 Jurisdiction: Tigard Site address: 12940 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 154 Project: River Terrace East, Lot 154 Project Description: New SF. 5/14/19: REPRINT to add 330 sf deck and 330 sf deck cover. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 0 sf Garage: 566 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2594 sf Value: $357,090.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2594 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $35,857.67 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 throug ! `- 952-..1-0090 You may ain a co f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ��//I/ 124/!C! Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approves plans are required on the job site at the time of each Inspection. Building Permit Application Residential FOR OFFICE USE ONLY City Tigard Date/B 13125 SofW Hall Blvd.,Tigard,OR 97223 Plan Reviewed Other Permit: ' Phone: 503.718.2439 Fax: 503.598. ECE' E Date/B Permit No.: T I ,A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for Internet: www.tigard-or.gov 201(3 Notified/Method: Supplemental Information r MAY U1 TYPE OF WO of.111 t+� - REQUIRED DATA':1 AND 2 FAMILY DWELLING ®New construction . qll ,'� ►111 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. �.,:...,, Valuation: $ ® 1-and 2-family dwelling 0 Commercial/industrial IDAccessory building 1:1 Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: " Job site address: kZGtyp S1 •-D IU6'T H R-Ved New dwelling area: square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: square feet Cross street/directions to job site: Deck area: 330 square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: i611 Permit fees*are based on the value of the work performed. Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. " �� Valuation: $ O�Ok wa l-- -C17 RQ1�1MA.. Ex MAST Zb1`t-0 0 2 S.9 Existing building area: square feet New building area: square feet PROPERTY OWNER ❑` ENA iT;` Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: • Phone:(602)694-4031 Fax:( ) New: ® APPLICANT 0 CONTACT PERSON + BUILDING PERMIT FEES* (Please refer to fee schedule) - Business name:Polygon WLII,LLC Structural plan review fee(or deposit): Contact name:Jolene Smith FLS plan review fee(if applicable): Address:703 Broadway St,Ste.510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 Fax: :( ) E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St.,Ste.510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signator ' .' This permit application expires if a permit is not obtained Ira within 180 days after it has been accepted as complete. Print name:Jatene,.. Date:7/27118 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • City of Tigard u COMMUNITY DEVELOPMENT DEPARTMENT 11,1111 . Building Permit Review — Residential I I( \1, I) Building Permit#: mS-c 11,_C,,,_)c �� Site Address: IMO &V✓ 16 S Alt. Project Name: l`Zivtr Irma Eai1- 'OA Lot#: IN (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review 5 rtck `i E- . > >. Proposal: Ne! r-K ///s/i.;' /2e2/2f ( /mssE-79 Adterts" 7-6 /14-7y SITE. Ake-t/ liyerify site address/suite#exists and active in permitys tem. River Terrace Neighborhood: 0 No LJ Yes,See River Terrane Review Addendum Attached Si Plan Elements: V - (3)copies of site plantwg structures on site 1' le plan )&on 8-1/2"x 11"or 11 x 17"paper ootprint of new structure(including decks)with finished L: s ., to scale(standard architect or engineer scale) o . elevations L . ,, arrow L .1', 'locations&easements(required for new and additions) 1 r ' address,project or subdivision name and lot number L: ..milt/driveway approach n pplicant information(name and phone number) ' non of wells/septic systems Lot dimensions and building setback dimensions ting trees to be retained with drip line,and tree wilkuare footage of buildings to be demolishedtion measures dmLot area,building coverage area,percentage of coverage and fQStr tree size,type and location 1 1r-'impervious area(applicable if R-7,R-12,R-25&R-40) in:-. .et names (aroperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? (Yes 0No i 4 foot differential) If yes,is a storm water quality facility shown? ❑ ]No [Clean Water Services—Service Provider Letternot platted prior to 9/10/1995): LI Arvid tv “ uired 0 Yes,applicant was notified ICYNo Received: 0 Yes 0 No ly USG [ Public 1Fa{liittieB provement(PFI)Permit : : Yes,applicant was notified 0 No Applied For El Yes 0 No,stop intake , d Use Case#: j'NZD 6-00001 �� It-9-.5 (11) fl Requ Setbacks: Front IL Rear IS Side 3 Street Side "4- Garage 9,p iel Landscape Requirement she Iff4- .t Coverage Maximum: lJBuilding Height: Maximum Height 30 Actual Height Is t: Visual Clearance El/Sensitive Lands: 0 Yes /No Type VUAban Forestry Plan Conditions"Met"prior to issuance of building permit Notes:N __ II/ Approved By Planning: !��b...'Q Date: Iola"11 Revisions(after Building Submittal only) Reviewer to Revision 1: Approved 0 Not Approvedrk Revision 2: 3ErApproved 0 Not Approved Revision 3: 0 Approved 0 Not Approved l.BmldinglFame\BldgPe mitRvw RES_0614 t7.docx • Building Permit Submittal OriginalSubmittal Date: t�� Building Plans: # Building Permit#: a Enter building permit#above. Workflow Routing. E 'Planning Ei Engineering LP Permit Coordinator Ci'Building Workflow Sign-off: S Sign-off for Planning(include notes from planning review) Route Application Documents: Er Engineering: (1)copy of permit application,(1)site plan,(1)building plan and original plan review muting form. Q'Building. original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 1 ) t 1_i 1CS Engineering Review 7 Slope at building pad: J v ❑ Conditions"Met"prior to issuance of building permit ❑ Easements(encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 0 No Assess Water Quantity Fee in-lieu: 0 Yes fJ No LIDA Facility on lot 0 Yes f No .0 Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: ❑ Approved by Engineering: lIt j E i'., a c. Date: i' / ,/'/ ` � I Revisions(after Building Submittal only) Reviewer Date Revision 1: ,0 Approved 0 Not Approved `- �' Revision 2: -Approved 0 Not Approved /v(.I 141-, Gv / Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review Conditions Met"prior to issuance of building permit 0 Approved,NOT Released: Date: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to Applicant VSDC Fees Entered Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes 0 N/A �y LIDA 0 Yes .N,N/A OK to Issue Permit (. // Approved by Permit Coordinator: Date: to 18 l:1Buitdiag\Forms\BldgPamitRvw_RE3 O10118.docx . • of ard r COMMUNITYCityTig DEVELOPMENT DEPARTMENT II River Terrace Building Permit Review Addendum TIGARD Building Permit #: M -A- ,Q\%- (., .gq Site Address: 11140 SU 16S6 Avc Project Name: tkv Tu Coj It 1 Lot #: 1S`( (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist9. t Design Standards (18.640.070.1.): ; Is the project subject to the plan district design standards? 01/Yes ❑ No 1.Articulation:a minimum of 1 element per each street-facing façade that has 30-60 ft.of frontage.An additional element required for lots with over 60 ft.of street frontage shall be provided every 30 ft. Balcony w/access 2 Window Projection Vertical Wall Offset a 1 Porch min. 5 ft.deep ft deep min.2ft.,5 ft.wide min.2 ft.,6ft.wide Gabled dormer/ ❑ 0 0 0 [17' 2.Eyes on the street:a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: it-0 I- 3.E antes:At least one entrance must meet both of the folloying standards: lir 8 ft.setback from longe t street-facing wall IL/Parallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No . IfTyes,/ all the following apply: sq.ft.min. Ifd' ne street facing entry airy ft.max.roof above floor of porch [ S ft.depth min. 30%min.porch roof coverage 4 etailed Design:All buildings shall include a min.of five of3be following elements on all street-facing façades: LTJ Covered porch min. 5 ft.wide x 5 ft.deep L7 Recessed entry area min.5 ft.wide x 2 ft.deep ❑ $Gall offset min. 16 inches ❑ Dormer min.4 ft.wide rE"Roof cave min. 12 inch projection 0 Roof offset min.of 2 ft. 0 Roof shingles either tile or wood a06able,hip or gambrel roof design ❑ R,pof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min.3-7 inches wide Accent siding min.40%of street façade 0 Window trim min.2'/2"wide by 5/8"deep 0 Window recess min.3 inches for all street facing ❑ Bay window min.5 ft.wide by 2 ft.deep ❑ Balcony min. 5 ft.wide x 3 ft.deep with inside access 0 Attached garage is 35%or less of street façade 5.Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: , No/closer to front or side lot line,than longest street-facing wall. 0 Yes o. If No(Check one): VMay extend up to 5 ft if there is a covered front porch and garage does not extend beyond the front porch. 0 May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min.area of 12 sq.ft. Width: (Check one) �� O 12-foot-wide garage door IJ�40%max. of street façade O 50%-max.of street façade with 7 detailed design elements Notes: Approved By Planning, it Cori, Date: 10-00`(f I:\BuIldinerommsSIdgPeamitRvwRES RT J2I417.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT _IIIIIII Transmittal Letter 1 .i A P n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.g TO: /%yrs ✓ DATE RECE ►- D: DEPT: BUILDING DIVISION rEIVED MAY 6 2019 FROM: 001 A \i\Nt5R-12.1S CITY OF 1 IGARD COMPANY: �OIU�py� :3UILDING DIVISION PHONE: SU 0 - (o g 5 • '1,'l pU By: RE: Y 2Q 4.O SW I1o5nA PrioS sAAST 20 t 1 "06 Z-61 (Site Address) (Permit Number) 2kor:19... T e.R.Pt rt ►"t l.'3 LA (Project name or subdivision name and lot n ber) ATTACHED ARE THE FOLL 0,t. INA ' MS: Copies: Description: Fr Copies: Description: Additional set(s) of plan*N X Revisions: Alykpl. dtecL Cross section(s) and det. s. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: St -Fe_ • \Cu\ (, 1.),+A� 1 Y\ i. 04 auic A-- A-e-c--k- cov\e-r 6-.2`717 Routed to it Tec ian: Date: 7 (07 Initials: r Fees Du=. Y 1:1 No Fee Descri ion Amount Due: $ t> IZ 17, olatev,C,e JA(I'e s,.. L/ $ $ Special Instructions: Reprint Permit(per PE : [A Yes � ❑No ❑ Donef ___ Applicant Notified: ate: /� // / GInitials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT Permit#: MST2018-00289 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/10/2019 T l i.A I<:17 9 Parcel: 2S106AD04700 Jurisdiction: Tigard Site address: 12940 SW 165TH AVE Subdivision: RIVER TERRACE EAST Lot: 154 Project: River Terrace East, Lot 154 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 4 First: 2594 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 18 Bathrooms: 3 Second: 0 sf Garage: 566 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 2594 sf Value: $341,316.80 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet NEW SF VB R-3 2594 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 109 E 13TH ST 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 602-694-4031 PHONE: 360-695-7700 FAX: Total Fees: $35,668.56 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You .y obtain a co.y of the rules or direct questions to OUNC by calling 503.232.19870cor 1.800.332.2344. Issued By: �! �fr„ Permittee Signature: J�rli97/th71-1. ,,a Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . . Lc)\ \ \ \ Building Permit Applicationn CF s �'� Residential ..` FOR OFFICE USE ONLY City Tigard u G2018 J Received Date/By: vtottuLA (b SATPermit No.: , ..-1Q) .-(, �h _ q III ' 131SW Hall Blvd.,Tigard,OR 97223 - Phone: 503.718.2439 Fax: 503.598.1( k t � Plan ie / 7g3 1pt � GTDaeBy: 1Other Permit :5),..a®r 'ULdT 5`J TIGARD Inspection Line: 503.639.4175 T r, �., Date Ready/By s ® See Page 2 for Internet: www.tigard-or.gov 61'fl a PIN('(' I J S I`(Y.''` Notified/Method: i / /d Supplemental Information .97A /0t- '6,`dA/ TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ® 1-and 2-family dwelling 0 Commercial/industrial Valuation: $ it' 3 1:1Accessory building 0 Multi-family Number of bedrooms: f Q0 Master builder 0 Other: Number of bathrooms: /5 JOB SITE INFORMATION AND LOCATION Total number of floors: % 3 /lib Job site address: /2 q Nb 3v, t k0 J 0,1e, New dwelling area: 2,5 9 4 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: 54.G/ square feet Suite/bldg./apt.no.: Project name:River Terrace East Covered porch area: square feet Cross street/directions to job site: Deck area: 0,e13square feet C,ov :red i'' ').--i p; 1:5 square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision:River Terrace East Lot no.: 15 q Permit fees*are based on the value of the work performed. Tax map/parcel no.: i Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the DESCRIPTION OF WORK work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feet 10 PROPERTY OWNER ❑'TENANT Number of stories: Name:ADVL Land Holdings,LLC Type of construction: Address:7600 E Doubletree Ranch Road Occupancy groups: City/State/ZIP:Scottsdale,AZ 85258 Existing: Phone:(602)694-4031 Fax:( ) New: ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* - - Business name:Polygon WLH,LLC (Plr.sorefer tofee schedule) Structural plan review fee(or deposit): Contact name:Jolene Smith FLS plan review fee(if applicable): Address:703 Broadway St,Ste.510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 Fax::( ) Amount received: E-mail:permitsubmittals@polygonhomes.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* CONTRACTOR Commercial and residential prescriptive installation of roof-top mounted Photo Voltaic Solar Panel System. Business name:William Lyon Homes,Inc Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway St.,Ste.510 Solar Installation Specialty Code checklist. City/State/ZIP:Vancouver WA 98660 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: g This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Jolene Smit Date:7/27/18 *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . , IA 1-,,,r-I-u.i ur li Mechanical Permit Applicatiait lit,Eli 7 ki .1 1-()R()1-1 R 1 I su ()NIA City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 °By AUG 13 Z018 ' pun if....new p.mi,N .9t-7-;24.;/,,ceo.y ' Phone: 503,718,2439 Fax: 503398.1960 Drawity: Odor Permit' 1„.. .‘RI, Inspection Line: 501639.4175 M/ 0 f''' iARI, Doc ltokb:ny Jur" la Smelly 2 far Internet: www.ticard-orgoy oMethod: Supplemental information litillil-ING i?rviSI(IN • :‘ -:- .•:',4*,ikoe,:t4v,::::,-vis=?..*4*4,01*Ottfac.:!--i':: ------'-' 7,... . ::,4790.P,P3aftimvsargou -ustatttimerr Mechanical permit fees*are based on the value of the work 1 New construction 0 Addition/alteration/replacement performed.Indicate the Value(rounded to the nearest dollar)of all El Demolition 0 Other mechanical materials.equipment.labor.overhead,and profit. Value:S - • .. •, , swLmAL , o i*and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special informatics use checklist I Multi-family 0 Master builder 0 Other: Description Ory, Ea. Total 44:01,,-BiTt:188813RIktkriOprAmta:lb:civil:At_ , ., ,,, Mr conditioning 46,75 Job site address: 12100 s\t, kkp.--tv) prie.. Furnace 100.000 BTU Milos vents) 1 46.75 CityStateIZIP:Tigard,OR 97224 Furnace 100.1330+BTU ohictsvenist 54.91 Heat pump SuitelhIdgiapt no.; Project name: yi\lex Terracec.„0...c..1- Duet work 23.32 - Cross streePditections to job site: HYdronte hot water system 23.32 i Residential boiler(radiator or Irvilicmie) 23,32 Unit heaters(fuel-(ype,not electric), in-wall,in-datit,suspended,etc. 4475 Flue'vent for am or above ri 23.32 Other , 23.32 Subdivision: Neje-r-fm-ctte, .sa..c-1/4.- Lot no.: 151- Other fuel appliances: Tax map/parcel no.: Water heater 23.32 _ ,:',"."•.„--7-,,!..„".v:) I*214:REPTIoN,,:er,Ny98,1 c„,-,:, ,.,, , ,,,,' ,,,, ., •-, Cuts fireplaceinscrt 1 33-.39 ' Flue vent for water heater OT ZIS fireplace 23,32 ... Log lighter(ass) 23.32 Woodcpellet stove 33.39 Wood Fireplace(fasert 23.32 Channeyeliwzrillueivent 23.32 ' • ':* PR°Plirri!OWNER.- ' ' • '' 13 TENANT -- • Other 23.32 , -• Environmental exhaust and ventilation: , Namc. Ng V L Lard 1+001(1 Si ILL Range hoodother kitchen equipment I 33.39 Address' 00 i)otA,Veilree, 124,1(04 t241d Clothes diver exhaust / 33.39 CIIIPI - State/71P4 — Sc,o-Kscidstle. 0-2 M1.5)) i Sinalc-duct exhaust thathrOorns. Lii toilet compartments.utility rooms) 23.32 Phone:(360)69.5-7700 Fax:( ) Attiecrawkruce fans 23.32 IN AITLICANT ' , _- - C3'CONTACT PERSON - '• Other 23.32 BUSiTIM name.. Q‘ on, \taw tut, P Fuel PiPiritl, $14.15 for first four:$4.03 for each additional , Contact name: -5D _,Stalib Furnace,etc, i 4 •,--- GU heatPumn Address-:103 broticlioeui a S\LAke, SID Wallisuspended'unit heater City/Stote( IP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 Fax::0366)693-4442 Fireplace 1 • Range 1 E-mall:Pilsch1)- klATIadall-tcemeian vtorrYs .c_ory) Bathe= . , . , -, ,..--:,.,..- 2;,,'•'14,„.,,-; .."-!--. CONTR4 . : ‘,,-_ : -, - ', ,.. , ' Clothes dryer(gas) Business name:Apes Air LIC Other: Address:18004 NE 72 Ave Subtotal Cityi•Staim:21P;Vancouver,WA 98686 Minimum permit fee(S90,00) • Plan review 1251,of permit feet Plume:(360)3424109 Fax:(360)326-1769 State surcharge(12%of penMt fee) CCB lie.:203034 TOTAL PERMIT FEE This permit application expires it a permit is not obtained within Ian days after it has been accepted as complete, Authorized signature: * Fee methodologi set by Tri-Conory Building industry Service Beard ...... .„- - Prim MAC 1.... o-1^ / Date: 4. I,E.1,fin,„T.,,,,,..,,Mitr PenithAppptOf 11 doe' 444-4617T, IM2ATAII AVIS _ 7 2,OF, itE USL'ONLY-- �,pQrciiCity ofTigard AUG 3 )01/,,e/13yReceivea Permit ivt-I..S ai,;F- ee,21-1 e i, a 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Vl �,, ,t Related Permit#: 1 .v . Inspection Line: 503.639.4175 l � t 1 TIGARD e2�yDate/By: Jur s: C�7 SeePage2for k Internet: www.ti and-or. ov g g BUILDING 1 ; ethod: Supplemental Information l ...r amu+. $$ . . r. : aYEE QR WORK. PL AN R voW N New construction ❑Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/ilemschecked): . _ . . _.. .. :_ . Service or feeder 400 amps or more 0 Building over three sto ries• t❑Demolition ❑Other: where the availablefault current 0Marinas and boatyards ,.- ,.:Z:., =.:: . :-•: - : - ATEGO _O-FCO .ST.UCTO<,Yz :: • >: ; ,::a.:.: -: ; exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1® I-and 2-family dwelling ❑Commercial/industrial Uindustrial ❑Accessory building less toground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family • 0 Master builderother installations. :.,:.._... Fire ump. 0 Other: 0i. buildings. �. • . .........:.:._.. (]Installation of 150 K ::.w,.:::;;,,.:-,y,. ,. ,:,_:40,-SITE 1N 0RMATION:AND:L TIO1V. ;::;.::;' :."i: ::- ; ❑Emrr e system. larger ` . : � QUA� .. g�Y Y separately derived 1 Job#: Job site address: ( Z"I`Tv 0 Addition of new motor load of system. I Sw l0J ` Q. 100HP or more. i City/State/ZIP:Tigard,OR 97224 0 Six or more residential units. occatpaacy. 0 Health-care facilities. 0 Recreatiotml vehicle parks. Suite/bldg./apt.#: Project name:;R` -recta!" �n r� 0 Hazardous locations. ❑Supply voltage for more than "�`"" i�+� 0 Service or feeder 600 amps or more. 600 volts nominal. I Cross street/directions to job site: _::...::............. ....:::,.:...:-....:. :_ .:_..b.,.......:...,....:: .::,..._.; Description :::.:._ _.-<-I Qty.-I Each I .Total I;: . New residential single-or multi-family dwelling unit. Subdivision?-‘U, TeiVrate. .S Lot#: 15L.I Includes attached garage. Tax map/parcel#: T 1,000 sq.ft.or less 16g_54 4 ': ::'-',:f€-:;:::..r__::_;a::a:.: .D . : :�, n L4 33.92 1 -ESCCRLPTIN,..OB;';WOIRIC:;,:;::.: dd'l portion 500sq. or rtiol ' Limited energy,residential (with above sq.ft.) 75.00 2 s Limited energy,multi-family residential(with above sq.ft.) 75.00 2 a ftgit)P ItTY OVUN14R : :.`:.-. Renewable Etter gy 0 See Page 2 .TFNANt Services or feeders installation,alteration,and/or relocation Name: L n..J I1,.Aa t S 11 r 1200 amps or less 100.70 2 Address: 14)0 g ®1�1�10 e.-I�c' •.,^ 20I amps to 400 amps !33.56 2 h �l 1 401 amps to 600 amps 200.34 2 City/State/ZIP: Sc,l,wsonp 1 f 7 ` 5-Z 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 1 Email: Temporary services or feeders installation,alteration,and/or t • relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease, r rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 t Owner signature: Date: 401 amps to 599 amps 168.54 2 ..,,,:ter,:=<.-.:>�•H e _....:.,...::,..,:;.:,-::,,;-:::;�:_.;. ,: . :.._.:._..;..: - - 30-.. 0.:. ,,:C_.,�..: : .....,.., ",.:;::, ::: Branch car ----- _ �;laa.. � •l'IiLGANT:<<a �:=;;:. -:;';:`.�'": - - - cots-new alMratian or . . ... ....,._.,_.:....� ,.. .::.,,:., , _:..,.. >,:�.-,;:>,.-_�;,:::__ ,..•':GUNTA,C� :P�RSQN :;•.3;,,,. � extension,perpanelpanel A.Fee for branch circuits nNith 1 Business name: Po 4y ion W� j-� +� above service or feeder fee, / each branch circuit 7.42 2 i Contact name: [? Q� Jin B.Fee for branch circuits without Address: ^� r at- C Jx service or feeder fee,first 1®J '- W Gl�.i 3t It S'M 0 branch circuit 56.18 2 City/State/ZIP;Vancouver,WA 98660 Each add'!branch circuit 7.42 2' Phone:(360)695-7700 Fax::(360)693 4442 Miscellaneous(service or feeder not included) Each manufactured or modular 67.84 • 2 _ - dwelling,service and/or feederEmatl 9 �mk$1 ��' .201 r^_ YK CJlY1 Reconnect only 67.84 2; i ? x . i?4 ::gh '. _ G0 RWoR . . Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 Address:402 Valley Ave NW Ste 106 Signal circuit(s)or limited-energy 0 See Page 2 2 panel,alteration,or extension- City/State/ZLP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90.00/hr Email:bdaniels®gweusa.com Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lie.: C1158 Electrical Lic.: 208174 Suprv.Lie.: 4496S specifically listed(i4 hr min) 90.00!hr Suprv.Electrician signature,required: f P, At m. -' EL`ECTRI AL PERMt� .)+TES. - Subtotal: Print name: Joan P Albert J Date: 0 Plan Review Required(25%of permit fre): State surcharge(12%of permit fee): Authorized signature: .�-:_— TOTAL PERMIT FEE: t-J` This permit application expires if a permit is not obtained within 130 Print name: Bill Daniels Date: days after it has been accepted as complete. • Number of inspections allowed per permit. L1BuildingTermits1ELC_Pennitppp_CLa ERE.doc Rev 06/17!2015 440.461Sr(l i/Q5/COtvr/WEs 1 RE Plumbing Permit Application CEIVE!) Building Fixtures AUG 1 a L018 City of Tigard _ q jLlatefBy 13125 SW hall Blvd.,Tigard,OR 9722.,�f � �'��F Permitt o.: Phone: 503.718.2439 Fax; 503.594 �F P Review OtherPemiitNo.: T A li C? Inspection Line: 503.6394175 ger' i G Date Ready/Sy: ]inns: id SeaFage 2 los Internet www turd-or gov NotifiedlMethod. 'A'PE tltRV[ * Information colon FEE. . New construction ©Dewolitiort For special infunxutlan use cheeky - Description } Qty. I Ea. 1 Total D Addit ontalterationfreplacecment Other: New 1-2-family dwellings(includes 100 ft,for each utility connection) uATIE;GU3tY OF C(3laitIICUN FR(1)bath 312.70 � SFR(2)bath 437.78 1-and 2-familp dwelling 0 Commerciallindnsnal SP&t(3)bath 500.32 Accessory building Multi-family Each additional bath/kitchen 25.02 ❑Master builder ©Other: Fire sprinkler( sq.ft) Page 2 TOB-_SrFgINFORMATIOON LO4TEOJaT Site utilities: Job site address: jC L/1) . ., Catch basin or area drain 18,75 Drywdll,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Pirating drain(no.linear ft: ) Page 2 Suite/bldgiapt..no.: Project name;a 1Z$IC.f Tur EO-Sir" Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.• ) Page 2 Subdivision: tN ,( )ç- Lot no.: (5y Fixture or:ltens Tax map/parcel no.: Bat*ffowpreventer 1 31.27 DESG3�oN OF WORK ro I Backwatter valve r 12.51 Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 !gid PR(FERTY fl� °> 0 TFN Expanslon tank 12,51 .. _ .�, .,.,, _- _�, _ .. � ;.., ,. 3 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Road Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 8525$ Hose bib 25.02 Phone:(602)66944031 Fax:( ) lce.maker 12.51 ®t Interceptor/grease trap 25.02 Business name: dol J q Lk1 t .. Medical gas(valsxe:$ ) Page 2 Contact name i Roof o1251 e� � l v► Rcofdrain(commercial) 12..51 Address: 1 i jsio $k Sw kC 51D Sink/basin/lavatory U 4 U i%Je ( 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 w, Phone:(360)695-7700 j Fax::(360)693-4442 Tub/shower/shower pan 12.51 Urinal 25.02 E mast �f.®` 1Ur� �1lt�i�(11Y�3C13( ':closet 23 02 CO k �3 > .r,... - . ,z. ._ w .. Water heater 3752 Business name: + i4b j \ C WaterP 1't" WV 5629 � Address: , _ .. father 25.02 t iitylState/ZI: sr ( ( ' 1I3-7 Subtotal Phone: c538 8 f_� i'u1 Fa7C: �'� 7 1.4 fW Minimum permit fee: 572.50 �r ... ( .r CCB Lie.: I8f31 — Plumbing Lie.no. ( 3L! Plan review (12%of permit fee) t State surcharge.{12°/g of permit fee}) Authorized signature: tttfr [ TOTAL PERMIT FEE Print name: 5..T " v l j �'L Date: .a-�'v"! i s permit application expires if a permit 3s not obtained within 186 days .atter itltas been accepted as complete. *Fee methodology set by Tri-County Building b+dustrYService Board i;nu0aglFAmiffitPLMU_FnmOAgp4oa 10/01/09 44o-4o1orgelo t�oMfWEa) i7 1 " City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT s TIC;:1RD Building Permit Review — Residential Building Permit #: CX\ Ta A-C)�� Ci Site Address: I L 'to Su/ tG S f`-t, Akx. Project Name: T,ii1Cr 7krr-net EaiJ- #-' Lot #: ISSI (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: !VW t /7�.'.5/ice, 072E 'ic (,267,/ s c'�1J `'4 .�r.3" 7Z) /7+7C t'/ 3;7-67 /�Le9-nr pc/Verify site address/suite#exists and active in permit tem. River Terrace Neighborhood: 0 No lir Yes,See River Terrace Review Addendum Attached Sit- Plan Elements: L' -- (3)copies of site plan 114isting structures on site ti= 'te plan xnust kg on 8-1/2"x 11"or 11 x 17"paper Utootprint of new structure(including decks)with finished 11: 1, wn to scale(standard architect or engineer scale) 9,0or elevations C^ yrth arrow CN9''ty locations&easements(required for new and additions) C^�e address,project or subdivision name and lot number L9'Sidewalk/driveway approach l,_id,�' `�plicant information(name and phone number) ation of wells/septic systems [tot dimensions and building setback dimensions listing trees to be retained with drip line,and tree (I quare footage of buildings to be demolished p tection measures 1 C Lot area,building coverage area,percentage of coverage and Vstre t tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ClG$"treet names [4roperty corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? Ud Yes ❑No DJ/ VAP differential) If yes,is a storm water quality facility shown? DINoI LJ'/Clean Water Services—Service Provider Letttteof platted prior to 9/10/1995): LI.Pr pn iviil Required: ❑ Yes,applicant was notified LY No Received: ❑ Yes 0 No L [ ' Public Facilities provement(PFI)Permit I �( equired: ® Yes,applicant was notified 0 No Applied For: 12 Yes ❑ No,stop intake mdUseCase#: PDIZ2-0I6-00001 ing. f 9.S LPA [i Required Setbacks: Front IL Rear 1 S Side 3 Street Side ii4- Garage uf I4 Landscape Requirement: ' .t Coverage Maximum: % JBuilding Height Maximum Height 30 Actual Height le /: Visual Clearance lZYSensitive Lands: 0 Yes /No Type ,�U�-ban Forestry Plan ('Conditions "Met"prior to issuance of building permit Notes: Ill Approved By Planning: tove4A41 C4A-rtDate: 10-0 _`p RevisionsO (after Building Submittal only) Reviewer D to Revision 1: Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved I:\BuildinglForms131dgPennitRvw RES_061417.docx Building Permit Submittal Original Submittal Date: g t k, '1. Site Plans: # 3 _ Building Plans: # 3 Building Permit#: 2/Enter building permit#above. Workflow Routing: Di/Planning LE' Engineering GY Permit Coordinator CT Building Workflow Sign-off: Cl Sign-off for Planning(include notes from planning review) Route Application Documents: Er Engineering: (1)copy of permit application, (1)site plan,(1) building plan and original plan review routing form. L'Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: . ...A. , Date: ID l t 1 i cs Engineering Review , Slope at building pad: f ❑ Conditions"Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes £ No Assess Water Quantity Fee in-lieu: ❑ Yes m No LIDA Facility on lot ❑ Yes Er No ❑ Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: • Approved by Engineering: fl t ( 1a ,. : .,. Date: r // : Revisions(after Building Submittal only) Reviewer Date Revision 1: Z Approved 0 Not Approved ,' i Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review Conditions"Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions(after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to Applicant: VSDC Fees Entered: Wash Co Trans Dev Tax: Nk Yes 0 N/A Tigard Trans SDC: ,,31K Yes ❑ N/A Parks SDC: .5Yes ❑ N/A - LIDA ❑ Yes .,kN/A J OK to Issue Permit // y Approved by Permit Coordinator: mVate: tO 1 8 I I:\Building\Forms\BldgPennitRvw_RES 0 101 18.docx City of Tigard liga COMMUNITY DEVELOPMENT DEPARTMENT r 1 c A RD River Terrace Building Permit Review Addendum Building Permit #: cx-N(s-C" C\c_ � s-) s Site Address: 1119 S1„/ 16S 6 Auc• Project Name: 1lv+r ItrAtt Eaj # j Lot #: 1SLI (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan Dist4ct Design Standards (18.640.070.1.): Is the project subject to the plan district design standards? Ll1'Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a Gabled dormer ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide / ❑ ❑ El �/ 2. Eyes on the street: a minimum of 12% of each street facing façade must include windows or entrance doors. Percentage Shown: lg.Q 7- 3. E rances:At least one entrance must meet both of the folloying standards: EJ Max. 8 ft. setback from longe t street- facing wall �"1 arallel to street,angle no more than 45° from street, or open onto porch Entrance opens to a porch: Yes ❑ No If yes,all the following apply: 6 sq.ft. min. ,Ltd' ne street facing entry L7,Lfd3�12 ft.max.roof above floor of porch L5'5 ft. depth min. 0%min.porch roof coverage 4.,etailed Design:All buildings shall include a min. of five of tie following elements on all street-facing facades: tI/Covered porch min. 5 ft.wide x 5 ft. deep [ Recessed entry area min. 5 ft.wide x 2 ft. deep ❑ Mall offset min. 16 inches ❑ Dormer min. 4 ft.wide Roof eave min. 12 inch projection ❑ Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood aV6able,hip or gambrel roof design ❑ 50 of pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide VAccent siding min. 40%of street façade ❑ Window trim min. 2 1/2't wide by 5/8" deep ❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide x 3 ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: �� No/closer to front or side lot line,than longest street-facing wall. ❑ Yes LI No. If No (Check one): Li'May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above the garage that faces the street with a min. area of 12 sq.ft. Width: (Check one) �� ❑ 12-foot-wide garage door Ld'40%max. of street facade ❑ 50%-max. of street façade with 7 detailed design elements Notes: Approved By Planning: 140")(- Ce)rjL"-- Date: LO-(01 I:\Building\Forms\BldgPermitRvw_RES_RT_121417.docx FOR OFFICE USE ONLY—SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT ii S r Transmittal Letter I 1.;A Ei rl 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: A\1 (, S 0r0 DATE RECEIVED: DEPT: BUILDNG DIVISION RECEIVED ?eV yr,Irso12vtP,f oiic,@vo\v C o\/\11\Q\UM, FROM: Am 1 v\k, env\\A NOV 5 2018 COMPANY: PO' O In N DV I W6 kO1\A Q GIT '' 'IGA _ BUILDING DIVAsiW PHONE: 50— 'v C4S "1100 y: / '<l/ RE: \Mit SW 10S-WV;ITA011ti ,Ms-rd)01(6-bona (Site Address) (Permit Number) \wev --ravauc e0lc-f- Lai" /59 (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. J Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): I,, REMARKS: VV� kit v'' ((Kb mem FOR OFFICE USE ONLY Routed to Pit Technician: Date: ll —s—t Q., Initials: AM Fees Due: Yes ❑No Fee Description: Amount Due: IA- 1 � $ yg I $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ZVo 0 Done Applicant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions_061316.doc Electrical Permit Application�Ec�'vE® FOR OFFICE USE ONLY Cl ofTigard Received 1 i , g DateB l1A `J Permit#: ` j _IL ^mow n 13125 SW Hall Blvd.,Tigard,OR 97223 `'©- E Phone: 503.718.2439 Fax: 503.598.1960)U N 2 8 20 9 Plan Review DateB : Related Permit#: IIITIGARD Inspection Line: 503.639.4175 TIGARD Ready Date/By Jams: li3 See Page 2 for a Internet: www.tigard-or.gov CITY OF DIVISION Notified/Method: Supplemental Information . }LDNG, TYPE OF; TYPE PLAN,REVIEW ®New construction 0Addition/alteratiot7/replaCement -'; Please check all that apply(submit 2 sets of plans w/items checked): -.'; . 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other C -� ' where the available fault current 0 Marinas and boatyards. CATEOORX,OF COY5TRUCTIOIY` \,\C.t J .. exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 AccessO�build-ing less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations, buildings. 0 Multi-family 0 Master builder 0 Other: o Fire pump. 0 Installation of 150 KVA or JOB SITE INFOI{141ATION AND LOCATIbN, 0 Emergency system. larger separately derived t -- ❑Addition of new motor load of system. Job#: Job site address: t Zq�0 W l 5-T1A PitA9 100EW or more. ❑"A","E",•'t-2",'•1-3'•, City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Project name:East River Terrace 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: FEE SCIDUI E`.: Description I Qty. I Each I Total r New residential single-or multi-family dwelling unit. Subdivision:East River Terrace. Lot#: 1 i.5L Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'1500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 75.00 2 Change contractor on MST j.Qk$—002 (with above sq R.) Limited energy,multi-family 75.00 2 residential(with above sq.ft.) in PROPERTY OWNER Renewable Energy 0 See Page 2 ❑;TENANT; Services or feeders installation,alteration,and/or relocation Name:Polygon WLH,LLC 200 amps or less 100.70 2 Address: 703 Broadway St,Ste510 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP:Vancouver,WA 98660 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168.54 2 E APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name:Polygon WLH,LLC above service or feeder fee, 7.42 2 each branch circuit Contact name:Tonja Morris B.Fee for branch circuits without Address:703 Broadway St,Ste.510 service or feeder fee,first 56.18 2 branch circuit City/State/ZIP:Vancouver,WA 98660 Each add'l branch circuit 7.47 2 Miscellaneous(service or feeder not Included) Phone: (360)695-7700 Fax: : (360)693-4442 Each manufactured or modular dwelling,service and/or feeder. 67.84 2 Email:permitsubmittals@polygonhomes.com Reconnect only 67.84 CONTRACTOi2 ..:. hamar ittig inn aitcie 67:84 2 Business name:Alameda Electric Sign or outline lighting 67.84 2 Signalimited-energy Address:3415 NE 44thAve. panel,alteration,circuit )oor extension. 0 See Page 2 2 City/State/ZIP:Portland,OR 97213 Each additional Inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(503)319-2192 Fax:( ) Investigation(1 hr min) 90.00/hr Email:solarpdx@me.com Industrial plant(1 hr min) 78.18/hr ' - " Inspections for which no fee is CCB Lic.: 199188 Electrical Lic.: c923I Suety.Lic.: 4871$6 specifically listed(G hr min) 90.00/hr 3 p' Suprv.Electrician signature,required: (....e......4,,,,,- -------- ELECTRICAL PERMIT FEESSubtotal: Print name: Kirk Rood � I Date: 05/09/2019 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: /C J id. )24,0 TOTAL PERMIT FEE: This permit application expires If a permit is not obtained within 180 Print name: Kirk Rood Date: 05/09/2019 days after it has been accepted as complete. * Number of inspections allowed per permit.